Jagdish H Patel MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAGDISH H PATEL MD INC

Practice address

1455 Parkman Rd NW
Jagdish H Patel MD Inc
Warren, OH 44485-2156

Phone

(330) 394-3816

Fax

(330) 399-7295

NPI assigned

Oct 27, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jagdish H Patel, MDNPI 1235129404

Title

MD

Phone

(330) 394-3816

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagdish Hariprasad Patel, MD

  • Family Medicine Physician
  • Warren, OH
  • NPI 1235129404
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912997164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 PARKMAN RD NW",
            "address_2": "JAGDISH H PATEL MD INC",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852156",
            "telephone_number": "330-394-3816",
            "fax_number": "330-399-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 PARKMAN RD NW",
            "address_2": "JAGDISH H PATEL MD INC",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852156",
            "telephone_number": "330-394-3816",
            "fax_number": "330-399-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGDISH H PATEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "330-394-3816",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nicole Jackson, D.O.
• Natasha Jackson
• Ramona Jackson
• Sylvia A Jackson
• Matthew Jacob, M.D.
• Heather Ann Jakubec
• Todd Jakubisin
• James C Haun MD Inc
• James David Brodell, M.D., Inc.
• James S. Tavolario DPM

• Family Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.